Case History
An 84 year old gentleman with no significant past medical history was referred by his General Practitioner to the Emergency Department with a 2 day history of pain in a longstanding right inguinoscrotal swelling. It was noted that he had also had difficulty passing urine for the previous forty-eight hours. On examination his abdomen was soft and not tender, and in particular there was no palpable bladder suprapubically. He had a large right inguinoscrotal hernia which contained a large, tender, firm mass.